Medicare Facts for Pamela A. Walls


National Provider Identifier [NPI]: 1962573394
Last Name Of The Provider WALLS
First Name Of The Provider PAMELA
Middle Initial Of The Provider S
Credentials Of The Provider APRN, BC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1015 S BROADWAY
Street Address 2 Of The Provider
City Of The Provider MINOT
Zip Code Of The Provider 587014667
State Code Of The Provider ND
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 287
Number Of Medicare Beneficiaries 72
Total Submitted Charge Amount 58887.75
Total Medicare Allowed Amount 20729.92
Total Medicare Payment Amount 13824.95
Total Medicare Standardized Payment Amount 17600.07
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 3
Number Of Medical Services 287
Number Of Medicare Beneficiaries With Medical Services 72
Total Medical Submitted Charge Amount 58887.75
Total Medical Medicare Allowed Amount 20729.92
Total Medical Medicare Payment Amount 13824.95
Total Medical Medicare Standardized Payment Amount 17600.07
Average Age Of Beneficiaries 54
Number Of Beneficiaries Age Less65 55
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 30
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 31
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 60
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 25
Percent Of With Hypertension 25
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 53
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9388

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